Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $40.59 / $45.71	Professional		$34.85	$40.59	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.87 / $15.03	Professional	26	$12.59	$14.87	$15.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.67 / $20.30 / $22.86	Professional	52	$19.67	$20.30	$22.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $25.57 / $32.29	Professional	TC	$22.26	$25.57	$32.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $81.61 / $81.61 / $81.61	Facility	26	$81.61	$81.61	$81.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $54.98 / $191.13	Professional		$54.98	$54.98	$191.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $17.39 / $54.57	Professional	26	$17.39	$17.39	$54.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.09 / $35.09 / $35.09	Professional	TC	$35.09	$35.09	$35.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $66.05 / $191.13	Professional		$49.21	$66.05	$191.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $19.64 / $54.57	Professional	26	$17.50	$19.64	$54.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $36.25 / $68.58	Professional	TC	$29.39	$36.25	$68.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $56.98 / $191.13	Professional		$49.21	$56.98	$191.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $19.64 / $54.57	Professional	26	$18.05	$19.64	$54.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $31.95 / $68.58	Professional	TC	$29.39	$31.95	$68.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $57.36 / $167.14	Professional		$42.51	$57.36	$167.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $19.32 / $58.05	Professional	26	$13.73	$19.32	$58.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $39.60 / $145.26	Professional	TC	$29.14	$39.60	$145.26